CONNIE J DERUS (NPI# 1821642406) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821642406 |
| Entity Type | Individual |
| Full Name | CONNIE J DERUS |
| Practice Address |
5133 Turkington Rd Acme WA 98220-9638 |
| Mailing Address |
Po Box 98 Acme WA 98220-0098 |
| Practice Telephone | 2062514776 |
| Mailing Telephone | 2062514776 |
| Enumeration Date | 2019-07-31 |
| Last Update Date | 2019-07-31 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
60303063 | WA | Behavioral Health & Social Service Providers |
| Street Address |
5133 TURKINGTON RD |
| City | ACME |
| State | WA |
| Zip Code | 98220-9638 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376897272 | Sandra Lea Simon | Speech-Language Pathologist | 5200 Turkington Rd, Acme, WA 98220 | 2012-10-31 |
| 1528207214 | County of Whatcom | Ambulance | 2036 Valley Highway, Acme, WA 98220-2036 | 2009-02-19 |
| 1720600406 | Whatcom County | Ambulance | 2036 Valley Hwy # 9, Acme, WA 98220-9640 | 2020-05-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720600406 | Whatcom County | Ambulance | 2036 Valley Hwy # 9, Acme, WA 98220-9640 | 2020-05-15 |
| 1992221436 | Cristene Karinchak Behavior Supports, Inc. | Behavioral Analyst | 297 Hellein School Road, Acme, PA 15610 | 2017-08-16 |
| 1376897272 | Sandra Lea Simon | Speech-Language Pathologist | 5200 Turkington Rd, Acme, WA 98220 | 2012-10-31 |
| 1215212162 | Rebecca Lynne Flack | Nurse Practitioner | 109 Claypike Rd, Acme, PA 15610-2172 | 2011-10-11 |
| 1528207214 | County of Whatcom | Ambulance | 2036 Valley Highway, Acme, WA 98220-2036 | 2009-02-19 |
| 1144493651 | Pressley Ridge | Residential Treatment Facility, Emotionally Disturbed Children | 239 Thompsonrd, Acme, PA 15610-0000 | 2008-04-04 |
| 1457567554 | Debra Ellen Patsy | Massage Therapist | 248 Chearney Rd, Acme, PA 15610-1004 | 2007-05-15 |
| 1518094614 | Charles Howard Lange | Chiropractor | 5152 Us 31 N, Acme, MI 49610 | 2007-02-27 |
| 1770619488 | William E. Nowak, D.o. | Obstetrics & Gynecology | 3990 East M72, Acme, MI 49610-1739 | 2007-02-26 |
| 1487710760 | Jason Thomas Johnson | Chiropractor | 3875 M72 East, Acme, MI 49610 | 2006-12-29 |
| Find all providers in ACME | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851990477 | Leticeia Scott | Counselor | 2618 Deschutes Pl Apt 3, Bremerton, WA 98312-6015 | 2020-10-23 |
| 1073128906 | David Scott Clees | Counselor | 118 Mocliff Rd, Ephrata, WA 98823-1532 | 2020-09-08 |
| 1326663311 | Second Fruit Wellness Services LLC | Counselor | 2800 E Evergreen Blvd Ste B, Vancouver, WA 98661-4934 | 2020-06-15 |
| 1538784376 | Integrated Wisdom Therapy, Pllc | Counselor | 1313 N 27th Ct, Renton, WA 98056-1443 | 2020-06-08 |
| 1831711100 | Shannon E. Stauffer | Counselor | 2804 Grand Ave Ste 304, Everett, WA 98201-3586 | 2020-05-10 |
| 1457972390 | Mindy Alexander Counseling | Counselor | 5913 Maryhill Ln, Pasco, WA 99301-8766 | 2020-05-01 |
| 1376162537 | Northwest Sexual Counseling | Counselor | 1616 W Wellesley Ave Ste B, Spokane, WA 99205-1413 | 2020-04-08 |
| 1053940502 | Katherine Lizbeth Morris | Counselor | 101 W 8th Ave # 2e, Spokane, WA 99204-2307 | 2020-04-06 |
| 1164058145 | Brooke Ann Enriquez | Counselor | 3606 Main St Ste 202, Vancouver, WA 98663-2235 | 2020-03-21 |
| 1881224624 | Erin Reyes | Counselor | 750 George Washington Way Ste 8, Richland, WA 99352-4247 | 2020-01-21 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.